Female Sexual Function Index – FSFI

Q: How many questions does the Female Sexual Function Index – FSFI have?

The Female Sexual Function Index – FSFI contains 19 items and takes approximately 5 minutes to complete.

Q: How is the Female Sexual Function Index – FSFI scored?

Scores range from 2 to 36. Interpretation levels: Risk of sexual dysfunction (2-26), Normal sexual function (27-36).

Q: Is the Female Sexual Function Index – FSFI free?

Yes, this assessment is completely free. You will receive your results immediately after completion, with an optional AI-powered personalized interpretation.

Mohammed looti

Female Sexual Function Index – FSFI

A brief, multidimensional self-report instrument for assessing the key dimensions of sexual function in women.

19 Questions

~5 min

Custom

Scale Development & Technical Details

Scale Overview

The Female Sexual Function Index – FSFI was developed by Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D’Agostino, R. (2000). It is designed to measure Female sexual function. The scale is intended for use with Adult women.

Scale Structure

This instrument consists of 19 items organized into 6 factors/subscales: Desire, Arousal, Lubrication, Orgasm, Satisfaction, Pain.

Factor / Subscale	Items	N
Desire	1,2	2
Arousal	3,4,5,6	4
Lubrication	7,8,9,10	4
Orgasm	11,12,13	3
Satisfaction	14,15,16	3
Pain	17,18,19	3

Response Format

Respondents rate each item using a custom response format.

Response anchors: 0 = No sexual activity / Did not attempt intercourse, 1 = Almost never or never / Very low / Extremely difficult / Very dissatisfied / Almost always or always (pain), 2 = A few times / Low / Very difficult / Moderately dissatisfied / Most times (pain), 3 = Sometimes / Moderate / Difficult / About equally satisfied and dissatisfied / Sometimes (pain), 4 = Most times / High / Slightly difficult / Moderately satisfied / A few times (pain), 5 = Almost always or always / Very high / Not difficult / Very satisfied / Almost never or never (pain).

Scoring

Items are scored by subscale, with each subscale sum representing a distinct dimension.

Total scores range from 2 to 36. Interpretation guidelines:

Risk of sexual dysfunction: 2 – 26
Normal sexual function: 27 – 36

Psychometric Properties

Internal Consistency: The scale has demonstrated good to excellent internal consistency with reported Cronbach’s alpha values of High internal consistency (Cronbach's alpha >= 0.82 across domains).

Administration

The scale is self-administered and typically takes approximately 10 minutes to complete. It can be administered individually or in group settings. No special training is required for administration.

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About You

Please provide the following information before starting the assessment. This data is used for research purposes only and will remain confidential.

Gender *

Age *

Education Level

Country / Nationality

Instructions

Please answer the following questions as honestly and clearly as possible. Your responses will be kept completely confidential. In answering these questions, the following definitions apply: Sexual activity can include caressing, foreplay, masturbation, and vaginal intercourse. Sexual intercourse is defined as penile penetration (entry) of the vagina. Sexual stimulation includes situations like foreplay with a partner, self-stimulation (masturbation), or sexual fantasy.

0 No sexual activity / Did not attempt intercourse

1 Almost never or never / Very low / Extremely difficult / Very dissatisfied / Almost always or always (pain)

2 A few times / Low / Very difficult / Moderately dissatisfied / Most times (pain)

3 Sometimes / Moderate / Difficult / About equally satisfied and dissatisfied / Sometimes (pain)

4 Most times / High / Slightly difficult / Moderately satisfied / A few times (pain)

5 Almost always or always / Very high / Not difficult / Very satisfied / Almost never or never (pain)

Over the past 4 weeks, how often did you feel sexual desire or interest?

No sexual activity / Did not attempt intercourse Almost never or never / Very low / Extremely difficult / Very dissatisfied / Almost always or always (pain) A few times / Low / Very difficult / Moderately dissatisfied / Most times (pain) Sometimes / Moderate / Difficult / About equally satisfied and dissatisfied / Sometimes (pain) Most times / High / Slightly difficult / Moderately satisfied / A few times (pain) Almost always or always / Very high / Not difficult / Very satisfied / Almost never or never (pain)

Over the past 4 weeks, how would you rate your level (degree) of sexual desire or interest?

Over the past 4 weeks, how often did you feel sexually aroused ("turned on") during sexual activity or intercourse?

Over the past 4 weeks, how would you rate your level of sexual arousal ("turn on") during sexual activity or intercourse?

Over the past 4 weeks, how confident were you about becoming sexually aroused during sexual activity or intercourse?

Over the past 4 weeks, how often have you been satisfied with your arousal (excitement) during sexual activity or intercourse?

Over the past 4 weeks, how often did you become lubricated ("wet") during sexual activity or intercourse?

Over the past 4 weeks, how difficult was it to become lubricated ("wet") during sexual activity or intercourse?

Over the past 4 weeks, how often did you maintain your lubrication ("wetness") until completion of sexual activity or intercourse?

Over the past 4 weeks, how difficult was it to maintain your lubrication ("wetness") until completion of sexual activity or intercourse?

Over the past 4 weeks, when you had sexual stimulation or intercourse, how often did you reach orgasm (climax)?

Over the past 4 weeks, when you had sexual stimulation or intercourse, how difficult was it for you to reach orgasm (climax)?

Over the past 4 weeks, how satisfied were you with your ability to reach orgasm (climax) during sexual activity or intercourse?

Over the past 4 weeks, how satisfied have you been with the amount of emotional closeness during sexual activity between you and your partner?

Over the past 4 weeks, how satisfied have you been with your sexual relationship with your partner?

Over the past 4 weeks, how satisfied have you been with your overall sexual life?

Over the past 4 weeks, how often did you experience discomfort or pain during vaginal penetration?

Over the past 4 weeks, how often did you experience discomfort or pain following vaginal penetration?

Over the past 4 weeks, how would you rate your level (degree) of discomfort or pain during or following vaginal penetration?

Answer all questions to submit

Your Results

Female Sexual Function Index – FSFI